Interim Senior Director, Payment Operations
Firm: Kirby Bates Associates
Sector: Healthcare Leadership / Third-Party Administration (TPA)
Type: Interim Engagement
The Opportunity
Kirby Bates Associates is pleased to announce an exciting engagement opportunity for an Interim Senior Director of Payment Operations. As a nationally recognized healthcare leadership firm, we are seeking a strategic leader to oversee end-to-end provider payment management.
The Interim Senior Director will be the primary architect of payment integrity, ensuring seamless recovery and reconciliation efforts to recoup funds for our clients. This is a critical role for an expert who thrives at the intersection of operational excellence and financial accuracy within the TPA space.
Key Responsibilities
- End-to-End Oversight: Manage the full lifecycle of provider payments, including complex recovery and reconciliation workflows.
- Operational Excellence: Lead multidisciplinary teams to drive innovation and achieve high-performance results in payment processing.
- Integrity & Compliance: Ensure all processes align with healthcare regulations, payment integrity principles, and cost containment strategies.
- Vendor & System Management: Oversee EDI standard processes (ANSI 835), client billing, and stop-loss systems.
- Financial Recovery: Direct recoupment processes and handle complex interest calculations, particularly for non-ERISA plans.
Qualifications & Requirements
- Education: Bachelor’s degree in Accounting, Finance, Healthcare Administration, or a related field (Master’s degree preferred).
- Experience: 10+ years of healthcare payment operations experience.
- TPA Expertise: Specific experience in the TPA space is essential, specifically with organizations that directly issue provider payments rather than routing through traditional carriers.
- Technical Proficiency: Deep understanding of EDI standard processes (ANSI 835), remittance advice, stop-loss systems, and capitation payments.
- Leadership: Proven track record of managing multidisciplinary teams and fostering a culture of innovation.
- Regulatory Knowledge: Strong grasp of healthcare regulations and payment integrity/cost containment principles.
Why Kirby Bates Associates?
Kirby Bates Associates is a premier firm dedicated to finding and placing the best leaders in healthcare. We provide our interim leaders with robust support and access to prestigious engagement opportunities across the country
Our leaders receive an attractive compensation package including housing, transportation, and regular travel home.
Kirby Bates Associates is an EEO/AA Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender, gender identity and expression, national origin, age, disability, or protected veteran status. We celebrate diversity and are committed to creating an inclusive environment for all our associates.